Reflections on the process of change on acute psychiatric wards during the City Nurse Project

Journal of Psychiatric and Mental Health Nursing
C FloodP Oladapo


The intention of this paper is to discuss the process of therapeutic change on two acute psychiatric wards during a research project that aimed to reduce conflict and containment. Analysis of fieldwork notes, reflection, team discussion and supervision. The City Nurse Project successfully reduced patient aggression, self-harm and absconding. This paper reports on the reflections made over the course of the year as changes and developments to acute wards took place. Specifically discussed are the beneficial effects of an action research approach, the role of the City Nurse, support for ward managers, education and training, clinical supervision as well as difficulties and barriers to the overall process of change. At an interim stage of the project, the staff have shown a willingness to engage in efforts to change and improve two acute wards. This paper shows the potential to improve acute wards and produce positive outcomes using a working model.


Sep 1, 1991·ANS. Advances in Nursing Science·G J ActonB A Hopkins
Aug 1, 1990·Acta Psychiatrica Scandinavica·D A Sandford, R H Elzinga
Feb 1, 1995·International Journal of Nursing Studies·G A TysonL Beattie
Dec 1, 1993·Nursing Standard·J Hopton
Mar 1, 1996·Journal of Advanced Nursing·E Hart, C Anthrop
Jun 1, 1996·Nurse Education Today·J Hopton
Oct 16, 1999·Journal of Advanced Nursing·C Clarke, S Procter
Jan 14, 2000·Journal of Psychiatric and Mental Health Nursing·N ClarkL McFarlane
May 4, 2000·Acta Psychiatrica Scandinavica. Supplementum·D Goldberg
Feb 20, 2002·Journal of Advanced Nursing·Peter French
Mar 29, 2003·Journal of Psychiatric and Mental Health Nursing·P CallaghanL Bowers
Oct 30, 2003·Collegian : Journal of the Royal College of Nursing, Australia·Brendan McCormack, Robert Garbett
Feb 3, 2004·American Journal of Infection Control·Judith Morrison, UNKNOWN Health Canada, Nosocomial and Occupational Infections Section
Jan 27, 2005·Evidence-based Mental Health·Manon H J Hillegers
Apr 13, 2006·Journal of Psychiatric and Mental Health Nursing·L BowersP Oladapo
Sep 13, 2006·Journal of Psychiatric and Mental Health Nursing·G BrennanL Bowers

❮ Previous
Next ❯


May 23, 2012·The Psychiatric Quarterly·P S Mann-PollG J M Hutschemaekers
Jul 14, 2010·Issues in Mental Health Nursing·Michelle ClearyBrenda Happell
Oct 2, 2007·Archives of Psychiatric Nursing·Anna BjörkdahlGörel Hansebo
Oct 11, 2008·Journal of Psychiatric and Mental Health Nursing·L BowersT Allan
Sep 13, 2006·Journal of Psychiatric and Mental Health Nursing·G BrennanL Bowers
Apr 14, 2007·Journal of Psychiatric and Mental Health Nursing·C Hopkins, S Niemiec
May 29, 2012·Journal of Psychiatric and Mental Health Nursing·A BjörkdahlT Palmstierna
Jan 16, 2010·International Journal of Mental Health Nursing·Michelle ClearyBrenda Happell
May 15, 2015·International Journal of Mental Health Nursing·Cevher GunencGeoffrey L Dickens
Jun 18, 2019·International Journal of Mental Health Nursing·Allison HarringtonSuresh Sundram

❮ Previous
Next ❯

Related Concepts

Trending Feeds


Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Epigenetics Insights from Twin Studies

Find the latest research on epigenetics and twin studies here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.


Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Regulation of Vocal-Motor Plasticity

Dopaminergic projections to the basal ganglia and nucleus accumbens shape the learning and plasticity of motivated behaviors across species including the regulation of vocal-motor plasticity and performance in songbirds. Discover the latest research on the regulation of vocal-motor plasticity here.

Myocardial Stunning

Myocardial stunning is a mechanical dysfunction that persists after reperfusion of previously ischemic tissue in the absence of irreversible damage including myocardial necrosis. Here is the latest research.